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Extracted from Consolidated Report
This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.
Los Angeles County Grand Jury
• 1981-1982
Department of Mental Health . . . . . . . . . . . . . . . . . .
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Note: Missing finding numbers detected: F3
Findings 3 findings
F1
Page 105
The Auditor-Controller be provided adequate appropriate personnel to conduct systematic audits of concessions and franchises.
F2
Page 105
New vendor leases contain a condition requiring the annual submission of either a financial statement or income tax return. The present periodic monitoring activities by the DCEF and operating departments be
F4
Page 105
To reduce the administrative effort involved in annually verifying the County portion of gross receipts, an alternative recommendation would be consideration of drafting vendor lease renewals at a fixed fee that is comparable to the gross revenue percentage received over the past years. GROUP III - HOLDOVERS FROM 1980-81 DEPARTMENT OF ADOPTIONS The Los Angeles County Department of Adoptions (CDA) Audit was prepared by Arthur Young and Company, the 1980-81 Grand Jury contract auditor. Because the report was under- taken late in the term, it was held over for review and approval by the 1981-82 Grand Jury. The County Department of Adoptions, the only adoption agency in the state which is not a part of the County's social service agency, was established in 1949. It was separated from Los Angeles County's Department of Public Social Services (DPSS) in order to facilitate the adoption procedure. 104 - According to the staff of CDA, there is a perception on the part of some parents that an agency Taracas I concerned principally with adoptions is better able to handle care and placement of their children. Thus, those whose children would otherwise remain in long-term foster care arrange- ....................................... ments are more likely to relinquish such children for adoption. Providing a more stable family relationship through adoption not only benefits children, but also may save tax dollars that would have been expended to keep them in foster homes. A STATE OF Several significant events in the last decade dramatically reduced the number of children available for adoption: contraceptive measures became readily available, court decisions legalized abortions, and unwed mothers started keeping their babies. The nature of the Department's caseload also changed from placement of large numbers of Anglo infants to predominant placement of children for whom it was more difficult to find adoptive homes because of ethnicity, age, health or other factors. CDA is about half the size it was in 1970, and 85 to 90 percent of the children referred to the Department are categorized as hard to place. OBJECTIVES CDA had not been audited since it was established. The reason for this review was to see how well it serves parents and children. Based on an initial interview by the contract auditors with the Department's director and others, it was determined that the review would focus on four major areas: STATIONS OF
Recommendations 27
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R1Page 94The Grand Jury therefore recommends that the Museum Trustees and the County resolve the following issues: 1000 • What is an adequate level of funding for both Museum Associates and Los Angeles County with respect to current operations?
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R2Page 88That DMH examine the location, capabilities, quality, number and availability of board and care providers and skilled nursing facilities, and the desirability of establishing a formal patient referral network. That DMH modify its current approach to administration of the Short-Doyle program by streamlining the contracting and monitoring process: · Establish a Countywide technical assistance program, including monthly regional contractor meet- ings in all five regions
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R3Page 88donations. This could include the provision of additional meals, such as box lunches to be taken home on Fridays, or better access services to the site.
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R4Page 88Changes in regulations should be sought so that an acceptable practice would allow seniors to take from the nutrition site those foods which can safely remain unrefrigerated for a few hours. The economic feasibility of having equipment on-site to freeze and safely reheat leftover meals should be
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R5Page 88explored. Nutrition centers serving primarily ethnic groups should be reviewed by the Advisory Council to determine whether their diet p
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R6Page 88Donations for transportation should be suggested by all contractors. It should be acceptable to suggest a larger donation for personal needs transportation than for nutrition and medical transportation.
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R7Page 88Medical transportation should be subject to less stringent geographic limitations than transportation for other services.
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R8Page 88A carefully controlled pilot project to provide medical transportation by taxi, using scrip purchased at a discount, should be set up and evaluated by the Department.
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R9Page 88To the extent possible under 1982 changes in the law, transportation for nutrition should be funded by the nutrition project.
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R10Page 88Leasing should be explored as a possible alternative to owning vehicles where maintenance and lack of backup vehicles affect the reliability of service. Information and Referral
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R11Page 88Information and referral should be available at all nutrition sites, preferably on a daily basis, but at least weekly.
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R12Page 88Information and referral services should actively seek retired or retiring government employees as volunteers so that their knowledge can be used to help seniors.
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R13Page 88The possibility for involving volunteers in information and referral services should be more thoroughly explored as a means to involve seniors in their own programs. 14, Information and referral workers and volunteers, if used, should have more thorough training in telephone skills, such as probing for the issue, identifying the issue, limiting conversation without seeming to be abrupt and identifying the need for follow-up services.
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R15Page 88To the extent economically feasible, every local telephone book should have a listing for "Senior Citizen Information" and a local telephone number whether or not that community has its own information and referral service. Outreach
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R16Page 88Rather than going door-to-door, outreach workers should be used primarily to follow up on referrals.
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R17Page 88Periodic inserts in utility bills should be explored as a means of informing senior citizens of available services. In-Home Services
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R18Page 89The Department should fund training and referral programs for in-home service workers to help alleviate the critical shortage of qualified workers available for these services. Upon referral of a trained worker, seniors receiving services who have the financial ability to do so could be asked for a suggested donation. Legal Services The Department should encourage its contractors to seek help from the Los Angeles County Bar Association and local bar associations in recruiting attorneys to volunteer their time. 98
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R20Page 89The role and membership requirements of LACCOAA should be reassessed.
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R21Page 89LACCOAA should be asked to conduct a study of services in County or City islands and border areas and to suggest solutions to solve underservice or competing services problems resulting from the existence in Los Angeles County of two AAAs. Determination, mediation and suggestions for the resolution of problems which arise because of the existence in Los Angeles County of two AAAs would also be an appropriate activity to be undertaken by the Los Angeles County Committee on Affairs of the Aging.
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R22Page 89The Los Angeles County Area Agency Advisory Council should carefully document its efforts to study and evaluate legislation it supports.
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R23Page 89The AAA Advisory Council should more actively seek to inform participants of its role and to improve its communication with them.
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R24Page 89The Department should consider reducing the number of senior organizations assigned a staff person as liaison and evaluate the possibility of asking the Advisory Council to perform routine liaison activities and report to the Department.
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R25Page 89The Department and the Advisory Council should seek changes in the regulations to simplify reporting
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R27Page 89The Department should consider redefining the duties of a staff person to include responsibility to assess the quality, as well as the quantity, of volunteer services being provided.
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R28Page 89The Department should develop realizable goals for more effective and meaningful use of volunteers in senior citizen programs.
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R29Page 89Senior citizens should be provided opportunities for meaningful service commensurate with their skills and 200 experience. Miscellaneous
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R30Page 89The Department should consider developing guidelines for its contractors who may be willing to promote shared housing as a means to alleviate the shortage of affordable housing for seniors. The Department should consider requesting each of its contractors to furnish a plan for employing seniors as paid personnel. This review was conducted by Grand Jurors Rebecca Allen, Chair, Patsy Edwards, Mildred Light, and Carmelita ( $ 2 West with the assistance of the contract auditor.) GROUP II - PRELIMINARY REVIEWS DEPARTMENT OF BUILDING SERVICES TOTAL STATE The Department of Building Services (DBS) provides custodial and related services to approximately 400 County-owned facilities, including health care facilities. STATE CON In 1978 the County electorate passed Proposition A which allowed services being rendered by County personnel to be contracted to private enterprise. It subsequently became the policy of the Board of Supervisors to encourage such contracting. OBJECTIVES The objectives of the Grand Jury were to: